DR. GOPICHAND PENDURTI (NPI# 1578798393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578798393 |
| Entity Type | Individual |
| Full Name | DR. GOPICHAND PENDURTI |
| Credential | M.D |
| Practice Address |
902 N Riverside Rd Ste 200 Saint Joseph MO 64507-2518 |
| Practice Telephone | 8162711301 |
| Practice Fax Number | 8162711302 |
| Mailing Telephone | 8162711301 |
| Mailing Fax Number | 8162711302 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2017-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
2016023070 | MO | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
279764 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201149740A | 05 | |
| MO | 1578798393 | 05 | |
| IA | 1578798393 | 05 | |
| MO | RR MEDICARE | P01795280 | 01 |
| Street Address |
902 N RIVERSIDE RD STE 200 |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64507-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447247218 | Bonnie K Goins | Radiology | 902 N Riverside Rd, #201, Saint Joseph, MO 64507-2559 | 2005-10-05 |
| 1902294796 | Latha Varghese | Nurse Practitioner | 902 N Riverside Rd, Ste. 200, Saint Joseph, MO 64507-2518 | 2014-12-31 |
| 1659700904 | Jamie L'heureux | Genetic Counselor, MS | 902 N Riverside Rd, Ste. 201, Saint Joseph, MO 64507-2518 | 2013-11-07 |
| 1548535198 | Lauren Ashley Short | Nurse Practitioner | 902 N Riverside Rd, Ste. 200, Saint Joseph, MO 64507-2518 | 2012-03-15 |
| 1255610606 | Sarah E Arnold | Nurse Practitioner | 902 N Riverside Rd, Ste. 100, Saint Joseph, MO 64507-2559 | 2011-08-16 |
| 1659698231 | Heartland Clinic Cancer Center St Joseph Oncology | Internal Medicine | 902 N Riverside Rd, Suite 200, Saint Joseph, MO 64507-2559 | 2010-04-22 |
| 1992939599 | Juliet Gyamfua Appiah | Internal Medicine | 902 N Riverside Rd, Ste 200, Saint Joseph, MO 64507-2518 | 2009-05-11 |
| 1154521813 | Satinderjit S Oberoi | Internal Medicine | 902 N Riverside Rd, Suite 200, Saint Joseph, MO 64507-2559 | 2007-07-20 |
| 1043370984 | Laxmi Narayan Veligati | Specialist | 902 N Riverside Rd, Suite 100, Saint Joseph, MO 64507-2518 | 2006-12-11 |
| 1245390160 | Heartland Regional Medical Center | Specialist | 902 N Riverside Rd, Suite 100, Saint Joseph, MO 64507-2559 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644044 | Janaha Anderson | Dental Hygienist | 4073 Se Cunningham Rd, St. Joseph, MO 64507 | 2014-10-09 |
| 1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1356300735 | St Joseph Oncology Inc | Internal Medicine | 902 No Riverside Rd, Suite 200, St Joseph, MO 64507 | 2006-03-22 |
| 1962478560 | Douglas Chyatte | Neurological Surgery | 802 N Riverside Rd Ste 120, Saint Joseph, MO 64507 | 2006-02-24 |
| 1073089546 | Chaz Caleb Johnson | Physical Therapist | 5506 Corporate Dr Ste 1800, Saint Joseph, MO 64507 | 2018-10-22 |
| 1295228344 | Julie Odonnell Phd LLC | Clinic/Center | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507 | 2018-06-13 |
| 1912369695 | Luke Nathan Prest | Pediatrics | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507 | 2016-03-22 |
| 1396007894 | Brian Wright Roe | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507 | 2012-06-11 |
| 1861873952 | Edison Derr II | Specialist/Technologist | 2214 Maple St, Saint Joseph, MO 64507-1413 | 2015-06-15 |
| Find all providers in zip 64507 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972122 | Eric P Lester | Internal Medicine | 820 Lester Ave, Ste 119, Saint Joseph, MI 49085-2565 | 2005-06-21 |
| 1689678021 | Lowell D Smith | Internal Medicine | 3950 Hollywood Rd, Ste 240, Saint Joseph, MI 49085-9151 | 2005-06-13 |
| 1699051136 | Lakeland Medical Practices | Internal Medicine | 3900 Hollywood Rd, Saint Joseph, MI 49085-9149 | 2011-10-28 |
| 1831491398 | Lakeland Medical Practices | Internal Medicine | 3950 Hollywood Rd, Suite 240, Saint Joseph, MI 49085-9151 | 2010-12-03 |
| 1659698231 | Heartland Clinic Cancer Center St Joseph Oncology | Internal Medicine | 902 N Riverside Rd, Suite 200, Saint Joseph, MO 64507-2559 | 2010-04-22 |
| 1851541353 | Daniel Richard Douce | Internal Medicine | 3900 Hollywood Rd, Saint Joseph, MI 49085 | 2008-09-22 |
| 1982637104 | Oncology Care Associates, Pllc | Internal Medicine | 820 Lester Ave, 119, Saint Joseph, MI 49085-2561 | 2006-07-09 |
| 1801830732 | Sapna R Patel | Internal Medicine | 3900 Hollywood Rd, Marie Yeager Cancer Center, Saint Joseph, MI 49085-9149 | 2006-06-14 |
| 1578500542 | Jason Richard Beckrow | Internal Medicine | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2006-05-31 |
| 1437155561 | Betty Koshy | Internal Medicine | 820 Lester Ave, Saint Joseph, MI 49085-2561 | 2005-06-23 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64507 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.